Individual provider · Type 1 NPI

Marisa Elizabeth Tetreault

Other Technician · Columbia, SC

NPI number 1063904191 Active

Practice location

612 Devine St Unit 434
Columbia, SC 29201-5276

Call (704) 473-5172 Map

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1063904191

Marisa Elizabeth Tetreault's National Provider Identifier is 1063904191, issued on Jun 4, 2018. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Columbia, SC. The record was last updated on Jun 4, 2018.